Individual
AMANDA MARIE WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
2700 1ST AVE S, SUITE 200, FORT DODGE, IA 50501-4306
(507) 236-1595
Mailing address
407 460TH ST, SWEA CITY, IA 50590-8550
(507) 236-1595
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
01616
IA
Other
Enumeration date
12/18/2006
Last updated
04/16/2008
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